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Overseas Travel

Are you planning travel beyond the U.S. or Canada?  Your child may need vaccinations, or medicine to prevent malaria.

The best information about "Travel Medicine" can be obtained by checking the CDC's website:

http://wwwn.cdc.gov/travel/

Immunizations:

Generally, travel to Western Europe, U. S. Protectorates, and Japan require no shots.  Even if travelling to a Third World country, no extra immunizations are required for children under 2 years old if they have been fully immunized according to our American schedule.  But older kids may need shots.

The most convenient way to obtain needed shots for travel is from this organization:

"Passport Health"
1941 Limestone Road
Suite 012 (Limestone Medical Center)
Wilmington, DE 19808
Phone: 302-633-5782
Fax: 410-727-0696

No referral is required.  Please note that a visit there may not be covered by your medical insurance.

We may be able to order some vaccines, but it may take several weeks for the vaccines we order to be delivered to your pharmacy, and not all vaccines can be obtained this way.  You must pick up the vaccines from the pharmacy and bring them (with the child) to our office, to have the vaccines administered here.

Malaria prophylaxis:

Check the CDC's web site for the most up-to-date recommendations and reports about malaria risk.  If malaria is a risk, prophylaxis may be recommended.

Malarone is usually the first choice.  It is given once a day, starting 2 days before arriving in the epidemic area, and continued once daily until 7 days after your return to the U.S.

Mefloquine (Lariam) may also be used, although some drug-resistant strains of malaria have been reported.  It is given once a week, usually in the evening to prevent GI side effects.  The first dose is given 1 week before arriving in the epidemic area, and continued once a week until 4 weeks after your return to the U.S.